What's Your Sleep Like?Sleep Quiz

Instructions:
Please answer the questions below about your sleep habits over
the past 4 weeks.
This quiz takes most people about 5 minutes to complete.
Take your time and answer truthfully for the most accurate results.

I am a year old Female / Male

1.
Do you have trouble falling asleep?

Not at all Just a little Somewhat A good bit of the time Most of the time All the time

2.
Do you have trouble staying awake during the day?

Not at all Just a little Somewhat A good bit of the time Most of the time All the time

3.
Do you get enough sleep to feel rested when you first wake in the morning?

Not at all Just a little Somewhat A good bit of the time Most of the time All the time

4.
Do you get the amount of sleep you needed?

Not at all Just a little Somewhat A good bit of the time Most of the time All the time

5.
Do you snore when you sleep?

Not at all Just a little Somewhat A good bit of the time Most of the time All the time

6.
Do you feel drowsy or sleepy during the day?

Not at all Just a little Somewhat A good bit of the time Most of the time All the time

7.
Do you take naps that are 5 minutes or longer during the day?

Not at all Just a little Somewhat A good bit of the time Most of the time All the time

8.
Do you feel that your sleep was not quiet (e.g. feeling tense, moving restlessly, can't get comfortable)?

Not at all Just a little Somewhat A good bit of the time Most of the time All the time

9.
Do you awaken short of breath or with a headache in the morning?

Not at all Just a little Somewhat A good bit of the time Most of the time All the time

10.
Do you awaken in the middle of the night and have trouble falling asleep again?

Not at all Just a little Somewhat A good bit of the time Most of the time All the time

11.
How long did it usually take you to fall asleep during the past 4 weeks?